National Provider Identifier

Samantha K Black, PA-C

Samantha K Black, PA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Williamsville, NY and a listed phone number of (716) 634-3243.

NPI 1144606351Williamsville, NYSurgical Physician Assistant

Source: public NPPES record, last updated July 24, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1144606351
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
August 11, 2015
Last Updated
July 24, 2019

Practice Location

  • 825 Wehrle Dr
  • Williamsville, NY 14221

Phone: (716) 634-3243

Mailing Address

  • 3719 Union RD Ste 218
  • Cheektowaga, NY 14225-4251

Specialties

  • Surgical Physician Assistant (363AS0400X)

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Biography

Samantha Black, PA-C, is a physician assistant based in Williamsville, New York, with an official provider record that identifies her background in surgical physician-assistant practice. The same record also lists a Newburgh, Indiana practice location, suggesting prior or additional professional activity outside Western New York.

Full Record
NPI
1144606351
Entity Type
Individual
Last Name
Black
First Name
Samantha
Middle Name
K
Credential
PA-C
Mailing Street Address
3719 Union RD Ste 218
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-4251
Mailing Country
US
Mailing Phone
(716) 206-1503
Mailing Fax
(716) 651-9945
Practice Street Address
825 Wehrle Dr
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221
Practice Country
US
Practice Phone
(716) 634-3243
Practice Fax
(716) 634-6056
Enumeration Date
August 11, 2015
Last Updated
July 24, 2019
Sex
Female
Sole Proprietor
No
Taxonomies
Surgical Physician Assistant (363AS0400X)